CABUSAO RESPONSIBLE PARENTHOOD AND REPRODUCTIVE

HEALTH IMPLEMENTATION TEAM (CaPaReHa):

A MULTISECTORAL COLLABORATION TO IMPROVE SERVICE
DELIVERY PROVISION FOR
FAMILY PLANNING IN CABUSAO, CAMARINES SUR

Dianne A. Evangelista, M.DMeasuring and Learning Together

Municipal Talakayan
towards Results
BACKGROUND OF THE STUDY

Municipal Talakayan
Measuring and Learning Together towards Results
Municipal Background
GEOGRAPHY

Land Area:
3,117.28hectares (Source: DENR Region V)

Total # of barangays: 9

Location:
Bounded on North by San Miguel Bay,
on the South by Municipality of
Libmanan, on the East Bicol River and
the West by the Municipality of Sipocot.
Main entry and exit point to the
municipality is Libmanan.
Municipal Talakayan
Measuring and Learning Together towards Results
Municipal Background
Livelihood:

1. Agricultural
2. Fishery
3. Commercial
and Service
Centers

Municipal Talakayan
Measuring and Learning Together towards Results
Municipal Background
POPULATION FROM 1990-2010
Cabusao, Camarines Sur
20,000
18,000
16,000
14,000
12,000
Municipal population
10,000
Population is increasing
8,000
6,000
4,000
2,000 Source of Data:

- 1990-2010 National Statistics

Office
1990 1995 2000 2007 2010 2014 (p)
2014 DILG
(Projected)
Municipal Talakayan
Measuring and Learning Together towards Results
Municipal Background
6,000
Population Per Barangay

5,000

3,939
4,000

3,000 2007
2,473 2010
2,184
1,875
2,000
1,262 1,276 1,134 1,045 992
1,000

-
2,562 1,487 1,379 5,116 1,318 2,255 2,009 1,129 794

Source of Data: National Statistics

Office

Municipal Talakayan
Measuring and Learning Together towards Results
 Municipal Talakayan
Measuring and Learning Together towards Results
Municipal Background
POPULATION CHARACTERISTICS Population per Sector (2015)
6,000
Total
Total Population:
Population: 18,852
18,852
(2014)
(2014) 5,000
Total
Total Households:
Households: 4,183
4,183
(2013) 4,000
(2013)
Total
Total Poor
Poor Households:
Households: Population
3,000
5,130
1,593
1,593
(2013) 2,000
(2013)
9352 1,000
males 422 828 923 370
-
8637
females
Sector
Municipal Talakayan
Source: Pop: DILG (projected); HH: KC 2013; Poor HH: NHTS 2013; Measuring and Learning Together towards Results
STATE OF LOCAL GOVERNANCE

Municipal Talakayan
Measuring and Learning Together towards Results
FINANCIAL PERFORMANCE REPORT
General Public Services
2014 MUNICIPAL EXPENDITURES (in Peso)
Salary of Personal
Non-Office Expenditures
Office Supplies

Social Welfare Services

Education, Culture,
Health Sports and
Services; Manpower Dev't; 0%
7% Kalahi Cidss
Social welfare services; 11% Person with Disability
Senior Citizen
Economic services; 11% Day Care

General public services; 71% Health Services

Blood Letting
Medicines
Health Programs

Education, Culture, Sports &

Manpower
Educational Assistance
Sports

Source: LGU, 2014 Municipal Talakayan

Measuring and Learning Together towards Results
STATE OF SOCIO-ECONOMIC DEVELOPMENT

Municipal Talakayan
Measuring and Learning Together towards Results
AVAILABILITY OF FACILITIES FOR SOCIAL SERVICES

9 HEALTH FACILITIES
12 SCHOOLS AND
DAY CARE CENTERS

2,306 or 71.37% OF ROADS

58% WITH TOTAL LENGTH OF
HOUSEHOLDS HAVE 32.44KMs ARE
ACCESS TO POTABLE ACCESSIBLE TO PUBLIC
WATER VEHICLES

2,576 or 74.49%
HOUSEHOLDS HAVE
ACCESS TO SANITARY
TOILET FACILITY
Municipal Talakayan
Measuring and Learning Together towards Results
 STATUS OF POVERTY
Cabusao
Cabusao has
has shown
shown
Poverty Incidence
2003 to 2012 marked
marked improvement
improvement in in
70 its
its poverty
poverty incidence
incidence
57.86
60
Camarines Sur over
over the
the past
past 9
9 years;
years; it
it
45.4 47.8 47.9 is
is lower
lower than
than the
the
50 43.8 46.1
provincial
provincial average.
average.
40 33.59
41.2

Poverty Incidence
Cabusa
30 200 201
o
2003 2006
20 9 2
National
24.9 26.6 26.3 25.2
10 (Philippines)
Regional (V) 45.8 44.2 44.2 41.1
0 Provincial
45.4 47.8 47.9 41.2
2003 2006 2009 2012 (Camarines Sur)
Municipal (Cabusao) 57.86 43.8 46.1 33.59

Municipal Talakayan
Source: NSCB Small Area Estimates, Measuring and Learning Together towards Results
 CORE LOCAL POVERTY INDICATORS
100.00%
90.00%
80.00%
CLPI
CLPI summary
summary shows
shows
70.00%
60.00%
improvement
improvement in in
50.00%
fighting
fighting poverty,
poverty, but
but
40.00% worse
worse conditions
conditions inin
30.00% unemployment,
unemployment, school
school
20.00% enrolment,
enrolment, andand
10.00%
sanitation
sanitation (access
(access
0.00%
toilets)
toilets)

2013 2014
Municipal Talakayan
Source: KC Database of CLPI Measuring and Learning Together towards Results
 CORE LOCAL POVERTY INDICATORS

INCOME AND
LIVELIHOOD
2,256 of
4,183
(53.93%)
HOUSEHOLDS
HOUSEHOLDS HAVE
HAVE
INCOME
INCOME BELOW
BELOW
POVERTY
POVERTY
THRESHOLD
THRESHOLD

Municipal Talakayan
Source: CLPI 2014 Measuring and Learning Together towards Results
 CORE LOCAL POVERTY INDICATORS
INCOME AND
LIVELIHOOD
1,847 of
4,183
(44.15%)
HOUSEHOLDS
HOUSEHOLDS HAVE
HAVE
INCOME
INCOME BELOW
BELOW
FOOD
FOOD THRESHOLD
THRESHOLD

Municipal Talakayan
Source: CLPI 2014 Measuring and Learning Together towards Results
 CORE LOCAL POVERTY INDICATORS

INCOME AND
LIVELIHOOD
2,370 of
5,107
(46.41%)
MEMBERS
MEMBERS OF
OF THE
THE
LABOR
LABOR FORCE ARE
FORCE ARE
UNEMPLOYED
UNEMPLOYED

Municipal Talakayan
Source: CLPI 2014 Measuring and Learning Together towards Results
 CORE LOCAL POVERTY INDICATORS
HEALTH AND
NUTRITION
158 of 3 of
4,183 1,803
(3.78%) (0.17%)
HOUSEHOLDS
HOUSEHOLDS
EXPERIENCED
EXPERIENCED CHILDREN
CHILDREN UNDER
UNDER
FOOD
FOOD SHORTAGE
SHORTAGE 5
5 YEARS
YEARS OLD
OLD
WHO
WHO DIED
DIED

Municipal Talakayan
Source: CLPI 2014 Measuring and Learning Together towards Results
 CORE LOCAL POVERTY INDICATORS
HEALTH AND
NUTRITION

308 of
1,803
(17.08%)
CHILDREN
CHILDREN UNDER
UNDER
0-5
0-5 YEARS OLD
YEARS OLD
ARE
ARE
MALNOURISHED
MALNOURISHED
Municipal Talakayan
Source: CLPI 2014 Measuring and Learning Together towards Results
 CORE LOCAL POVERTY INDICATORS

PEACE AND HOUSING

ORDER
1 of 228 of 161 of
4,183 4,183 4,183
(0.02%) (5.45%) (3.85%)
POPULATION
POPULATION HOUSEHOLDS
HOUSEHOLDS HOUSEHOLDS
HOUSEHOLDS
WERE
WERE VICTIMIZED LIVING
VICTIMIZED LIVING IN
IN ARE
ARE INFORMAL
INFORMAL
BY
BY CRIMES
CRIMES MAKESHIFT
MAKESHIFT SETTLERS
SETTLERS
HOUSING
HOUSING

Municipal Talakayan
Source: CLPI 2014 Measuring and Learning Together towards Results
 CORE LOCAL POVERTY INDICATORS
WATER AND
SANITATION

1877 of
4,183
(44.87%)
HOUSEHOLDS
HOUSEHOLDS
HAVE
HAVE NO
NO ACCESS
ACCESS
TO
TO POTABLE
POTABLE
WATER
WATER
Municipal Talakayan
Source: CLPI 2014 Measuring and Learning Together towards Results
 CORE LOCAL POVERTY INDICATORS
WATER AND
SANITATION

1,607 of
4,183
(25.51%)
HOUSEHOLDS
HOUSEHOLDS
HAVE
HAVE NO
NO ACCESS
ACCESS
TO
TO SANITARY
SANITARY
TOILET
TOILET FACILITY
FACILITY

Municipal Talakayan
Source: CLPI 2014 Measuring and Learning Together towards Results
 CORE LOCAL POVERTY INDICATORS

BASIC EDUCATION

291 of
2,919
(9.97%)
CHILDREN
CHILDREN 6-12
6-12
YEARS
YEARS OLD
OLD NOT
NOT
ATTENDING
ATTENDING
ELEMENTARY
ELEMENTARY
Municipal Talakayan
Source: CLPI 2014 Measuring and Learning Together towards Results
 CORE LOCAL POVERTY INDICATORS

BASIC EDUCATION

426 of
1,758
(24.23%)
CHILDREN
CHILDREN 13-16
13-16
YEARS
YEARS OLD
OLD NOT
NOT
ATTENDING
ATTENDING HIGH
HIGH
SCHOOL
SCHOOL
Municipal Talakayan
Source: CLPI 2014 Measuring and Learning Together towards Results
STATE OF PEOPLE EMPOWERMENT
(2014)
2,737 OR 3,960 OR 84.67%
53.59% ENROLLED
INDIVIDUALS ARE ELEMENTARY and HIGH
EMPLOYED TO FORMAL SCHOOL STUDENTS
AND INFORMAL (Source: KC, 2014)
SECTOR JOBS (Source: KC
2014)

6
COMMUNITY-BASED
ORGANIZATIONS
(Source:Sangguniang Bayan)

Municipal Talakayan
Measuring and Learning Together towards Results
REPRODUCTIVE HEALTH INDICATORS

Municipal Talakayan
Measuring and Learning Together towards Results
 Family planning method from 2010-2014 in the
municipality of Cabusao (FHSIS Data, 2010-2014)
2010 2011 2012 2013 2014
Current User Current User Current User Current User Current User
Indicators (End of (End of (End of (End of (End of
month) month) month) month) month)
Female Sterilization 23 43 42 38 54
Male Ster/ Vasectomy 0 0 0 0 0
Pills 174 33 28 106 188
IUD 0 2 1 0 1
Injectable (DMPA/CIC) 90 64 49 70 75
NFP-CM 0 0 0 0 0
NFP-BBT 0 0 0 0 0
NFP-STM 0 0 0 0 0
NFP-SDM 2 1 1 0 1
NFP-LAM 46 20 130 166 157
Condom 0 0 1 0 0
Implant no data No data No data No data 0
TOTAL 335 163 252 380 476
CPR 17% 13% 8% 13% 21%
Municipal Talakayan
Measuring and Learning Together towards Results
 500
450
400
350
300
250 Current FP User
200
150
100
50
0

Current Family Planning method users

from 2010-2014 in the municipality of
Cabusao (FHSIS Data, 2010-2014)

Municipal Talakayan
Measuring and Learning Together towards Results
 Family planning method used for 1st and 2nd quarter of 2015 in the
municipality of Cabusao (FHSIS Data, 2015)
1st quarter 2nd quarter
Total
Indicators New FP New Total FP
Current Users Acceptors users Current Users Acceptors users
63 3 65
Female Sterilization 60 3 62
Male Ster/ Vasectomy 0 0 0 0 0 0
Pills 177 14 191 178 15 193
IUD 1 0 1 1 0 1
Injectable (DMPA/CIC) 102 15 117 107 5 112
NFP-CM 0 0 0 0 0 0
NFP-BBT 0 0 0 0 0 0
NFP-STM 0 0 0 0 0 0
NFP-SDM 1 0 1 1 0 1
NFP-LAM 168 24 192 125 15 140
Condom 0 0 0 0 0 0
Implant 0 0 0 0 0 0

TOTAL 509 56 565 474 38 512

21% 20%
CPR Municipal Talakayan
Measuring and Learning Together towards Results
 200
180
160
140
120
100
80
current user (1st quarter)
60
current user (2nd quarter)
40
20
0

Current users of family planning method 1st and 2nd quarter

of 2015 in Cabusao (FHSIS Data, 2015)
Municipal Talakayan
Measuring and Learning Together towards Results
35

30

25

20
10-15 y/o
15 16-19 y/o

10

0
1st quarter 2nd quarter

Teenage Pregnancy in Cabusao (FHSIS Data, 2015)

Municipal Talakayan
Measuring and Learning Together towards Results
PROBLEM STATEMENT

Municipal Talakayan
Measuring and Learning Together towards Results
 PROBLEM STATEMENT

How can the service delivery of family planning

be improved in Cabusao, Camarines Sur?

Municipal Talakayan
Measuring and Learning Together towards Results
 PROBLEM STATEMENT
Specifically, it will answer the following questions:

1. What is the current status of implementation of Responsible

Parenthood and Reproductive Health Law, specifically, Family Planning
in the Municipality of Cabusao?
2. What is the level of involvement of the Local Government Unit, Rural
Health Unit, the Department of Education, Religious Sector, Government
Hospitals, Womens Organization and other organization with regards to
responsible parenthood and reproductive health, specifically family
planning?
3. What strategies, policies and program implementation can be done to
increase the service delivery of family planning in the municipality of
Cabusao?
Municipal Talakayan
Measuring and Learning Together towards Results
OBJECTIVES

Municipal Talakayan
Measuring and Learning Together towards Results
 GENERAL OBJECTIVE
This action plan and project aims to improve service
delivery of family planning services by creation of
Cabusao Responsible Parenthood and Reproductive
Health Implemenation Team (CaPaReHa)

Municipal Talakayan
Measuring and Learning Together towards Results
 SPECIFIC OBJECTIVES
1. Identify and Map out stakeholders involve in
increasing service delivery of family planning services

2. Elucidate the knowledge, attitudes and perception of

various stakeholders on RPRH Law, specifically on
family planning

Municipal Talakayan
Measuring and Learning Together towards Results
 SPECIFIC OBJECTIVES

3. Form the Cabusao Responsible Parenthood and

Reproductive Health Implementation Team

4. Create Work and Financial Plan for family planning

services to be incorporated in the Annual Operational
Plan of the Municipal Health Office.

Municipal Talakayan
Measuring and Learning Together towards Results
SIGNIFICANCE of the STUDY

Municipal Talakayan
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 SIGNIFICANCE
Personal motivation

advocate of responsible parenthood and empowering women through

giving them informed and proper choices
strengthen the service delivery of family planning through involving
various stakeholders which are crucial to the full implementation of
the RH law
no existing Municipal Population Officer or Municipal Population
Office and Implementing team on RPRH specifically for family
planning in the municipality

Municipal Talakayan
Measuring and Learning Together towards Results
 SIGNIFICANCE

Community: focuses the direction of delivering family planning services to

them.
LGU: full implementation of the project will cut the cost for other services
including basic services for food, education and health
Academe:
benchmark for creating the Implementation team for RPRH in the
municipality in the Bicol region
Reflect and escalate at the provincial, regional and subsequently at the
national level

Municipal Talakayan
Measuring and Learning Together towards Results
CONCEPTUAL FRAMEWORK

Municipal Talakayan
Measuring and Learning Together towards Results
 RPRH

Improve access and service delivery for family planning

Conceptual Framework for improving service delivery for Family

Planning. (Ergo, et al, 2011) Municipal Talakayan
Measuring and Learning Together towards Results
SCOPE AND LIMITATION

Municipal Talakayan
Measuring and Learning Together towards Results
 SCOPE AND LIMITATION

Limited only to the municipality of Cabusao

Time bound and cannot measure the immediate effect of creating
the implementation team for responsible parenthood and
reproductive health, including decreasing the unmet needs or
increasing the contraceptive prevalence rate
Certain political and personal biases
Strong opposition from other sectors

Municipal Talakayan
Measuring and Learning Together towards Results
RESEARCH HYPOTHESIS

Municipal Talakayan
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 RESEARCH HYPOTHESIS
This study, through the creation of the Cabusao Responsible
Parenthood and Reproductive Health implementation team will
improve the service delivery for Family Planning and strengthen the
implementation of Responsible Parenthood and Reproductive Health as
mandated by RA 10354, in the long run improving health indicators
such as contraceptive prevalence rate and unmet needs for family
planning

Municipal Talakayan
Measuring and Learning Together towards Results
DEFINITION OF TERMS

Municipal Talakayan
Measuring and Learning Together towards Results
 DEFINITION OF TERMS
Implementation Team- adapted from Implementing rules and regulations of
Responsible Parenthood and reproductive health (RPRH), is created in
compliance with the RPRH law tasks to do the manage, operationalize and
implement the RPRH through crafting a unified annual work and financial plan,
monitor its implementation and preparation of annual report on the
implementation of the law

Municipal Talakayan
Measuring and Learning Together towards Results
 DEFINITION OF TERMS
Family Planning (FP)- a program which enables couples and individuals to
decide freely and responsibly the number and spacing of their children and to
have the information and means to do so, and to have access to a full range of
safe, affordable, effective, non-abortifacient modern natural and artificial
methods of planning pregnancy

Municipal Talakayan
Measuring and Learning Together towards Results
 DEFINITION OF TERMS
Modern methods of Family Planning (MFP)- safe, effective, non-abortifacient
and legal methods or health products, whether natural or artificial, that are
registered with the Food and Drug Administration (as applicable) to plan
pregnancy, deemed to be safe, effective, and natural by the Department of
Health (DOH)
Modern natural methods: Billings Ovulation or Cervical Mucus Method, Basal
Body Temperature, Symptothermal Method, Standard Days Method,
Lactational Amenorrhea Method
Modern artificial methods and/or health products: include oral
contraceptive pills, condoms, injectables, intrauterine devices (IUDs), No
Scalpel Vasectomy (NSV), Bilateral Tubal Ligation (BTL), sub-dermal
implants, and
Municipal Talakayan
Measuring and Learning Together towards Results
 DEFINITION OF TERMS
Responsible Parenthood and Reproductive Health Act of 2012 (RA 10354)-
an act providing for a national policy on responsible parenthood and
reproductive health approved in 2012 in recognition of the state to
guarantees the human rights of all persons including their right to equality
and nondiscrimination of these rights, the right to sustainable human
development, the right to health which includes reproductive health, the
right to education and information, and the right to choose and make
decisions for themselves in accordance with their religious convictions,
ethics, cultural beliefs, and the demands of responsible parenthood.

Municipal Talakayan
Measuring and Learning Together towards Results
RELATED STUDIES

Municipal Talakayan
Measuring and Learning Together towards Results
 RELATED STUDIES
High Impact Breakthrough (HIB)
Implementation of RH Law (RA 10354)
Commission on Population
Lead to reduction of unmet needs on family planning, reduction in
infant, neonatal, child and maternal mortality
Reduction in the incidence of teenage pregnancy and HIV/AIDs
Increase male participation in Reproductive Health

Municipal Talakayan
Measuring and Learning Together towards Results
 RELATED STUDIES
Implementing Rules and Regulation on RA 10354

1. Family planning information and services which shall include as a first

priority making women of reproductive age
2. Maternal, infant and child health and nutrition, including breastfeeding;
3. Proscription of abortion, and management of abortion complications;
4. Adolescent and youth reproductive health guidance and counseling at the
point of care;

Municipal Talakayan
Measuring and Learning Together towards Results
5. Prevention, treatment and management of reproductive tract infections
(RTIs), HIV and AIDS and other sexually transmittable infections (STIs);
6. Elimination of violence against women and children and other forms of
sexual and gender-based violence;
7. Age- and development-appropriate education and counseling on sexuality
and reproductive health;
8. Treatment of breast and reproductive tract cancers and other
gynecological conditions and disorders;
9. Male responsibility and involvement and mens reproductive health;
10. Prevention, treatment and management of infertility and sexual
dysfunction;
11. Age- and development- appropriate reproductive health education for
adolescents in formal and non-formal educational settings; and
12. Mental health aspect of reproductive health care.

Municipal Talakayan
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METHODOLOGY

Municipal Talakayan
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Research Framework for improving service delivery for Family Planning
Municipal Talakayan
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Thank you!
Municipal Talakayan
Measuring and Learning Together towards Results